Alok Tripathi

All articles by Alok Tripathi

Dilated Cardiomyopathy (DCM)

I. Dilated Cardiomyopathy Dilated cardiomyopathy (DCM) is a condition of the failing heart where ventricles of the heart are dilated accompanied with decreased ejection fraction. Heart failure (HF) is a leading cause of death and disability in industrialized nations. Approximately 4.9 million Americans have been diagnosed with the disease and another 550,000 new cases are…

Acute myocardial infarction

I. Problem/Condition. Overview, pathophysiology and revised universal definition Acute myocardial infarction (AMI), colloquially known as a “heart attack”, is death of myocardial tissue due to protracted ischemia. It is a leading cause of morbidity and mortality in the United States (US) and increasingly even in developing countries. Globally, it accounts for 12 million deaths annually.…

Chest pain

Chest Pain I. Problem/Condition. Chest pain accounts for approximately 5 million emergency department visits annually, and can be a difficult diagnostic challenge. II. Diagnostic Approach. A. What is the differential diagnosis for this problem? Cardiac causes of chest pain Ischemia – stable angina, unstable angina, acute myocardial infarction*, coronary artery spasm, aortic stenosis Non ischemia…

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